UNKNOWN

ADAPTED_NOW

Preferred Qualifications: Required Licenses/Certifications: Req Advanced knowledge of: • ICD-10-CM • ICD-10-PCS • CPT • HCPCS • MS-DRG • APR-DRG Req Knowledge of coding compliance and regulatory requirements Req Knowledge of CMS coding and billing rules Req Strong analytical and problem-solving skills Req Excellent organizational and time management skills Req Strong written and verbal communication skills Req Ability to work independently and collaboratively Req Ability to interpret and apply official coding guidelines Req Strong presentation and training skills Req Certified Coding Specialist - CCS (AHIMA) AHIMA Certified Coding Specialist (CCS) only; or AAPC Certified Inpatient Coder (CIC) only; or either the CCS or CIC in conjunction with any one of the following national HIM credentials: 1. • Ensure effective use of coding and electronic health record systems including: ◦ Cerner/PowerChart and Coding mPage ◦ Solventum/3M 360 Encompass (CAC/CRS) ◦ Solventum/3M HDM, HRM, and ARMS ◦ Soarian Financials and CHC Assurance PFS systems • Promote effective use of system tools to support coding accuracy, audit activities, and denial prevention Perform other duties as assigned.

YEAR

University of Southern California

HIM Coding Manager Auditing and Education - HIM Financial - Full Time 8 Hour Days (Exempt) (Non-Union)

FEED

Ensure effective use of coding and electronic health record systems including: Cerner/PowerChart and Coding mPage Solventum/3M 360 Encompass (CAC/CRS) Solventum/3M HDM, HRM, and ARMS Soarian Financials and CHC Assurance PFS systems • Promote effective use of system tools to support coding accuracy, audit activities, and denial prevention. The Manager serves as a subject matter expert in coding regulations and provides leadership in the development and implementation of coding education, audit programs, facilitating educational webinars and seminars, planning and delivering effective presentations, and process improvement initiatives.

HIM Coding Manager Auditing And Education - HIM Financial - Full Time 8 Hour Days (Exempt) (Non-Union)

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Completes work assignments and supports business-specific projects by applying expertise in subject area; supporting the development of work plans to meet business priorities and deadlines; ensuring team follows all procedures and policies; coordinating resources to accomplish priorities and deadlines; collaborating cross-functionally to make effective business decisions; solving complex problems; escalating high priority issues or risks as appropriate; and recognizing and capitalizing on improvement opportunities. Assists with and supports the management of projects or compliance components of larger cross-functional projects by coordinating stakeholder contacts; recommending team resources based on project needs and team member strengths; assisting in the development, analysis, and management of project plans; and coordinating project schedules and resource forecasts.

At Kaiser Permanente, we are relentless in our pursuit of excellence. Driven by our mission to provide the highest quality preventive medicine, we are committed to eliminating health care disparities, and to making lives better through innovation, technology, and research.

Our desire to deliver the best possible care inspires us to promote wellness among our members, communities, and each other. It also fuels our belief that everyone — regardless of circumstance — deserves access to affordable care, which further drives our motivation to expand our reach.

Founded nearly 80 years ago, our unique business model sets us apart — positioning us to drive improvements across the industry and around the world.

Kaiser Permanente

Compliance Consultant IV - Medical Coding - Risk Adjustment

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At NorthBay Health the Professional Fee Coding Auditor is responsible for auditing professional fee coding across all service lines (Ambulatory/Hospitalist, Surgery, and Emergency Medicine), resolving pre‑billing coding edits, and reviewing post‑billing coding‑related denials. We are expanding access to care across our communities through two acute-care hospitals, including a Level II Trauma Center and a Level III NICU maternity unit, along with a cancer center, urgent care locations, and a growing network of primary and specialty care clinics.

NorthBay Medical Center

Professional Fee Coding Auditor Claims Edit Specialist (Full-Time, Day)

Requires at least one of the following certifications: RHIA certification as a Registered Health Information Administrator, RHIT certification as a Registered Health Information Technician, CCS as a Cert Coding Specialist, CIC as a Certified Inpatient Coder, or Certified Clinical Documentation Specialist (CCDS). The amount and availability of any bonus, commission, benefits, paid time off, stock, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law.

Elevance Health

DRG Coding Auditor - MS-DRG and APR-DRG

IRecruitee

Requires at least one of the following certifications: RHIA certification as a Registered Health Information Administrator, RHIT certification as a Registered Health Information Technician, CCS as a Cert Coding Specialist, CIC as a Certified Inpatient Coder, or Certified Clinical Documentation Specialist (CCDS). Broad knowledge of medical claims billing/payment systems provider billing guidelines, payer reimbursement policies, billing validation criteria and coding terminology preferred.

DRG Coding Auditor - Ms-Drg And Apr-Drg

The Principal, US Market Access & Reimbursement Strategy works upstream and day to day with Clinical Affairs, Regulatory Affairs, HEOR, Medical Affairs, Business Development, and R&D to define the optimal reimbursement pathway for each platform from first-in-human through launch readiness, and to ensure that clinical study design and regulatory strategy are built with that pathway in mind - weighing trade-offs across coding, coverage, and payment options, and advising senior leaders on the risks, sequencing, and decisions needed to reach commercial viability. It requires deep working knowledge of the US reimbursement environment: CPT, HCPCS, and ICD-10 coding at a certified coder''s level; Medicare coverage and payment methodologies (OPPS, MPFS, IPPS); innovative payment pathways including NTAP, TPT, and NT-APC; provider economics across sites of service, including hospital margin, physician economics, and quality-linked payment programs; and early commercial payer strategy.

Intuitive Surgical Inc

US Market Access & Reimbursement Director

Research and vet coding, documentation, and reimbursement requirements for Indigenous Pact's Tribal Care service offerings, specialty programs, state expansions, and tribal healthcare operations, as well as any other service line or business line Indigenous Pact decides to pursue, and provide implementation guidance to coding, billing, and operational teams. The Auditor is also the coding subject matter expert for Indigenous Pact's Tribal Care programs and for any service line or business line Indigenous Pact decides to pursue, researching and vetting coding requirements before services launch.

Indigenous Pact PBC, Inc.

Senior Coding Quality Auditor

GreenHouseAPI

Licensure/Certification: Required: Certified Coding Specialist (CCS), Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA) from American Health Information Management Association (AHIMA). Performs routine and targeted audits of inpatient and outpatient (OPPS/APC), encounters; assist with work queue management and troubleshooting account routing issues.

HOUR

Eisenhower Medical Center

Health Information Management Coding and Revenue Analyst

Skills, Knowledge, Abilities: Ability to coordinate educational sessions for multiple types of providers, Ability to demonstrate an awareness and understanding of medical insurances, contracts and related provider requirements related to such, Ability to demonstrate personal initiative, poise and confidence, accept challenges, and possess a proven working knowledge of EMR and Billing systems, Ability to identify and research current and proposed CMS guidelines and updates as it relates to current and pending service lines, Ability to prepare and distribute reports Excellent skills in documentation, data analysis, trend analysis, Ability to work flexible shifts and hours, Ability to work independently and out in field Must be able to travel within a 50 mile radius daily, Knowledge of general medical office practice workflow, Knowledge of physician practice processes including front, in room and back office, Possesses good time management and organizational skills Customer and results oriented Good listening skills Reliable, excellent follow through and effective utilization of organizational resources, Possesses strong relationship building and interpersonal skills; articulate in written and oral communication, Strong skills in Excel, Word, PowerPoint. Licensure/Certification: Required: Valid CA driver's license and exceptional DMV driving record; Certified Professional Coder (CPC) from the American Academy of Professional Coders (AAPC).

Clinic Provider Liaison

Monitors and assesses performance in coding and CDI staff to assure timely, accurate coding of inpatient discharges, ambulatory surgery encounters, Emergency Department encounters, and diagnostics services and the CDI assessment of inpatient admissions. Works collaboratively with physicians and other department staff to ensure that clinical information in the medical record is present and accurate so that the appropriate clinical diagnosis and level of severity is captured for the level of service rendered to all patients.

Sierra View Medical

HIM CDI CODING LEAD - HIM Dept - Full Time - Days

As an Inpatient Auditing Specialist you will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education, interim coding management, and coding workflow operations reviews. Guided by our mission to make the world's health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies.

Datavant

Inpatient Audit Specialist FT- Sign on Bonus

Strong customer service skills and ability to establish and maintain effective working relationships with other employees, patients and the general public. Knowledge of medical billing procedures, coding, Medi-Cal, Medicare, worker's compensation and HMO/PPO insurance programs.

Outpatient Coder Jobs in California

HIM Coding Manager Auditing and Education - HIM Financial - Full Time 8 Hour Days (Exempt) (Non-Union) University of Southern California

HIM Coding Manager Auditing And Education - HIM Financial - Full Time 8 Hour Days (Exempt) (Non-Union) University of Southern California

Compliance Consultant IV - Medical Coding - Risk Adjustment Kaiser Permanente

Professional Fee Coding Auditor Claims Edit Specialist (Full-Time, Day) NorthBay Medical Center

DRG Coding Auditor - MS-DRG and APR-DRG Elevance Health

DRG Coding Auditor - Ms-Drg And Apr-Drg Elevance Health

US Market Access & Reimbursement Director Intuitive Surgical Inc

Senior Coding Quality Auditor Indigenous Pact PBC, Inc.

Health Information Management Coding and Revenue Analyst Eisenhower Medical Center

Clinic Provider Liaison Eisenhower Medical Center

HIM CDI CODING LEAD - HIM Dept - Full Time - Days Sierra View Medical

Inpatient Audit Specialist FT- Sign on Bonus Datavant

Billing Representative Full Time Temporary Pulmonary Medicine Associates

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